| NPI | 1851522312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARIA KOOREN President 858-805-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP10165) |
| Enumeration Date | 2009-08-01 |
| Last Update Date | 2009-08-01 |